Idiopathic Ileocolonic Varices Coexisting with a Colon Polyp Treated Successfully by Endoscopy: A Case Report and Literature Review

Intern Med. 2019 Dec 1;58(23):3401-3407. doi: 10.2169/internalmedicine.3131-19. Epub 2019 Jul 31.

Abstract

Colonic varices are usually associated with portal hypertension. Idiopathic colonic varices are extremely rare. A 68-year-old man with a positive fecal occult blood test result underwent colonoscopy. We detected idiopathic ileocolonic varices and a coexisting ascending colon polyp. While reviewing the literature, we found cases of biopsies and polypectomies resulting in significant bleeding. We herein report a case of idiopathic ileocolonic varices coexisting with a colon polyp treated successfully by endoscopy. The coexistence of colonic varices and a colorectal lesion that requires endoscopic treatment may lead to significant bleeding. During management, the development of a treatment strategy and obtaining informed consent are necessary.

Keywords: colon polyp; colonic varices; endoscopic mucosal resection; idiopathic; ileocolonic varices.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Colon
  • Colonic Polyps / complications
  • Colonic Polyps / surgery*
  • Colonoscopy / methods*
  • Gastrointestinal Hemorrhage / complications
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / surgery*
  • Humans
  • Hypertension, Portal / complications
  • Hypertension, Portal / surgery
  • Male
  • Occult Blood
  • Varicose Veins / complications
  • Varicose Veins / surgery*